18D2192779 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 18D2192779
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 935 CHAMBERS BOULEVARD
    BARDSTOWN, KY
    ZIP 40004
  • Facility Phone: 270 506-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON C. LEWIS
  • NPI Number: 1619565272
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 18D2192779
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 935 CHAMBERS BOULEVARD
City BARDSTOWN
State KY
ZIP 40004
Phone 270 506-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director DR. JASON C. LEWIS

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This page was last updated on: 9/29/2025